| NPI | 1952720054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003216) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-09-30 |