| NPI | 1902206550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904010734) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 087117) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2019-08-13 |