| NPI | 1619257516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO CSW.00002075) |
| 101YM0800X Counselor, Mental Health (Licence: SW16118) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2020-10-29 |