| NPI | 1750684940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2024014163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001288) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2024-08-20 |