| NPI | 1841478849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2021) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |