| NPI | 1740484377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2157) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 2157) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-11-29 |