| NPI | 1457683252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1254134) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4134125) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2023-03-07 |