| NPI | 1073087771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61428809) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015193) |
| 101YP2500X Counselor, Professional (Licence: MD LC11436) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-04-18 |