| NPI | 1528203684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 6690) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 730) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2021-07-06 |