| NPI | 1427486331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0900521) |
| 101YP2500X Counselor, Professional (Licence: VA 0701010368) | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2023-05-22 |