| NPI | 1528429883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IA 001424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001424) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2024-02-28 |