| NPI | 1265881692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13255) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9311) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-10-13 |