| NPI | 1609972280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3387-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 3387-125) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-06-09 |