| NPI | 1114583028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 143555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 10202) |
| 101YM0800X Counselor, Mental Health (Licence: AK 143555) | |
| 101YP2500X Counselor, Professional (Licence: MD 10202) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-06-03 |