| NPI | 1467898221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6864) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-12-29 |