| NPI | 1285390849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |