| NPI | 1467697227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 8044) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2023-12-14 |