| NPI | 1457758542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0014054) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2023-05-01 |