| NPI | 1407956584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 9713) |
| 101Y00000X Counselor (Licence: MD LGP235) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LGP235) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-10-26 |