| NPI | 1982014254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 4413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-06-29 |