| NPI | 1932431905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2616) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 2647) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2019-02-06 |