| NPI | 1336540384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C4503) |
| 101YM0800X Counselor, Mental Health (Licence: OR C4503) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-06-08 |