| NPI | 1508165788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 7629) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2019-09-03 |