| NPI | 1376868653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC QS134644) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 7868) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2024-01-12 |