| NPI | 1366509309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 4798) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3253) |
| 101YM0800X Counselor Mental Health (Licence: IN 39004330A) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-03-07 |