| NPI | 1184201030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701010318) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 46.002690) |
| 101YP2500X Counselor Professional (Licence: NV CP5089-R) | |
| 101YM0800X Counselor Mental Health (Licence: FL TPMC1052) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-11-24 |