| NPI | 1710391982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5100) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-08-16 |