| NPI | 1467863597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 30565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc00757) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-06-10 |