| NPI | 1528305059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004475A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 277643) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2024-02-01 |