| NPI | 1679848261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: E.1901269) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2019-09-10 |