| NPI | 1215343009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S12958) |
| 101YP2500X Counselor, Professional (Licence: TN 1744) | |
| 101YP2500X Counselor, Professional (Licence: TX 77544) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-07-20 |