| NPI | 1134642572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LPC-6636) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-6636) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-02-12 |