| NPI | 1306133160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 2076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11614) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-06-16 |