| NPI | 1396226767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 7475) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA PLC7475) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-06-17 |