| NPI | 1902979313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1290) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 1290) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-05-19 |