| NPI | 1063856383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: MA 12799) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61395176) | |
| 101YP2500X Counselor, Professional (Licence: MD LC12238) | |
| 101YP2500X Counselor, Professional (Licence: PA PC14041) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-03-03 |