| NPI | 1033647086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019040496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2352) |
| 101YP2500X Counselor, Professional (Licence: NE 11175) | |
| 101YP2500X Counselor, Professional (Licence: NE 2526) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-11-12 |