| NPI | 1750716304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6184) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2023-10-31 |