| NPI | 1578790838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5224) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-07-31 |