| NPI | 1295926343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7771) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0107881) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-06-05 |