| NPI | 1295186161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 003785) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 17674) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-05-12 |