| NPI | 1285735696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4312) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4312) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-02-01 |