| NPI | 1396129755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6301-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2511) |
| 101YP2500X Counselor, Professional (Licence: WI 645378) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2021-05-10 |