| NPI | 1770870685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9216) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2019-09-23 |