| NPI | 1083179451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21367) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 5762) |
| 101YP2500X Counselor, Professional (Licence: IL 180.011127) | |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2023-09-05 |