| NPI | 1811390594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 008749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 004150) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2021-09-01 |