| NPI | 1336517556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15230) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-05-13 |