| NPI | 1730436387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 010662) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2024-08-26 |