| NPI | 1891819777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1055) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2024-05-10 |