| NPI | 1417249616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S8719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10927841-6004) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2023-12-21 |