| NPI | 1699005009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018369) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-04-15 |