| NPI | 1568668846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO CS002696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 02696) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-05-26 |