| NPI | 1386029460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30739) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC7118) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2022-10-03 |