| NPI | 1376667477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 07926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC302291) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2021-10-15 |