| NPI | 1457975781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018260) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-7672) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8826) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 3045) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2022-06-27 |