| NPI | 1366435018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5251) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2021-11-24 |