| NPI | 1316588874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0019387) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17410) |
| 101YP2500X Counselor, Professional (Licence: CO 0020736) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2024-08-26 |