| NPI | 1407266299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C2033A) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2023-06-12 |