| NPI | 1306088539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 007390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 407) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-08-05 |