| NPI | 1306231048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11732) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-12-19 |