| NPI | 1629459888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC 369) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC369) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2015-07-17 |