| NPI | 1669719886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9327) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2023-05-24 |