| NPI | 1457678260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S9529) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LPC9529) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC2087) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-07-23 |