| NPI | 1326812454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3027) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC009061) |
| 101YP2500X Counselor, Professional (Licence: TX 93641) | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-08-15 |