| NPI | 1558675629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9850) |
| 101YM0800X Counselor, Mental Health (Licence: MA 7276) | |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2015-07-15 |