| NPI | 1730305079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 5521) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-01-05 |