| NPI | 1659651784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6181) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005650) |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2024-06-27 |