| NPI | 1225154230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2024009005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 42263) |
| 101YM0800X Counselor, Mental Health (Licence: AK 230591) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 13710424-3902) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-03-25 |