| NPI | 1568703577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 5196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 17796) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2022-07-21 |