| NPI | 1366003147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-42257) |
| 101YM0800X Counselor, Mental Health (Licence: ID LMSW-42257) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-08-21 |