| NPI | 1962711150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C3377) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C3377) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2024-04-29 |