| NPI | 1649484320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 009008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2680) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-08-10 |