| NPI | 1326090044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4451) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-12-16 |