| NPI | 1518210749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC14329) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC5857) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-07-24 |