| NPI | 1538493101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0158831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5364) |
| 101YM0800X Counselor, Mental Health (Licence: CA 7401) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2023-06-08 |