| NPI | 1679869960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9190) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 239377) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2020-01-29 |