| NPI | 1811324635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10264233-6009) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2023-04-05 |