| NPI | 1508194044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 00009) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2024-01-18 |