| NPI | 1548629710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11330) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-06-21 |