| NPI | 1730517657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 243896) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2024-09-19 |