| NPI | 1952615833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD 11184) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 11184) |
| 101YM0800X Counselor Mental Health (Licence: MD 11184) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2019-08-22 |