| NPI | 1023294048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LPC-8570) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-3524) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2023-12-20 |