| NPI | 1427466721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5031-125) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 354-228) |
| 225C00000X Rehabilitation Counselor (Licence: WI 00041336) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-12-01 |