| NPI | 1528388014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904009289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 077921-1) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2024-08-07 |