| NPI | 1679963953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC6038) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-08-27 |