| NPI | 1548686181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10790) |
| 101YP2500X Counselor, Professional (Licence: TX 81923) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2021-11-18 |