| NPI | 1043295819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19615) |
| 101YM0800X Counselor, Mental Health (Licence: NC 3572) | |
| 101YP2500X Counselor, Professional (Licence: SC 7408) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-01-17 |