| NPI | 1417613423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P2002019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3471) |
| 101YP2500X Counselor, Professional (Licence: LA 3471) | |
| 101YP2500X Counselor, Professional (Licence: AR P2002019) | |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2021-11-14 |