| NPI | 1649248287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPCMH) |
| 101YP2500X Counselor, Professional (Licence: SD CDVCIII) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-03-10 |