| NPI | 1851405815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4897) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-09-03 |