| NPI | 1336260314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2001029771) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-03-15 |