| NPI | 1477526549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2004024728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2004024728) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-07-07 |