| NPI | 1982852653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14252) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2024-08-14 |