| NPI | 1922439892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2021-10-20 |