| NPI | 1427230283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 01007) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180-005323) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2021-06-18 |