| NPI | 1376993329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC0000782) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DE PC-0000782) |
| 101Y00000X Counselor (Licence: DE PC0000782) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-02-12 |