| NPI | 1356883649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL c2701a) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC03918) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-05-20 |