| NPI | 1942513619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9875) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2024-07-18 |