| NPI | 1538460456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7721074-6010) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2020-02-19 |