| NPI | 1750678959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 2346) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 002346) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-01-28 |