| NPI | 1861462780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 002066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0086471) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-10-25 |