| NPI | 1407345192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012945) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CI0365) |
| 101YM0800X Counselor, Mental Health (Licence: NV CI0365) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-08-11 |