| NPI | 1003431594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0001009) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012774) |
| 101YP2500X Counselor, Professional (Licence: DE PC-0001009) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-01-22 |