| NPI | 1245586544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001605) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.014243) |
| 101YP2500X Counselor, Professional (Licence: WI 5576-125) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-01-02 |