| NPI | 1578815296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9692) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9692) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-09-19 |