| NPI | 1043545205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LCPC03360) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0011511) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2022-10-27 |