| NPI | 1851646137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0006522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT3749) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-11-24 |