| NPI | 1699152504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC0777) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-06-13 |