| NPI | 1306232152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16872) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10623) |
| 101YP2500X Counselor, Professional (Licence: SC 10623) | |
| 101YP2500X Counselor, Professional (Licence: NC 16872) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-03-19 |