| NPI | 1952425993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002960) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1188) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-07-21 |