| NPI | 1427492636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005839) |
| 101YM0800X Counselor, Mental Health (Licence: CA 2744) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-04-04 |