| NPI | 1073241105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: GA 366134) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 008719) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: GA 008719) | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-05-22 |