| NPI | 1497179873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002245) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2019-11-09 |