| NPI | 1285999730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7433) |
| 101YM0800X Counselor, Mental Health (Licence: NC A9505) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-02-22 |