| NPI | 1437621265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016174) |
| 101YM0800X Counselor, Mental Health | |
| 133V00000X Dietitian, Registered (Licence: 1044620) | |
| 133V00000X Dietitian, Registered (Licence: DC DI100000451) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-07-12 |