| NPI | 1649300484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13983) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 13983) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-05-17 |