| NPI | 1053822296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3721) |
| 101YM0800X Counselor, Mental Health (Licence: MS 3206) | |
| 101YP2500X Counselor, Professional (Licence: MS 3206) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-12-10 |