| NPI | 1245635788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17204) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-863) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-03-22 |