| NPI | 1356783021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC P015652) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P007863) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-02-23 |