| NPI | 1548390420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC03111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001805A) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-10-16 |