| NPI | 1760808208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5600) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2023-10-06 |