| NPI | 1306275524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013014282) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701004547) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 3973) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2016-09-29 |