| NPI | 1619219623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01266) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-02-23 |