| NPI | 1093184681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPCMH2309) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC7375) |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC - MH 2309) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2022-12-21 |