| NPI | 1548479850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 02822) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA 002822) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-02-13 |