| NPI | 1336558113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10981) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-02-12 |