| NPI | 1487124558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11464) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 00119505) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2024-01-30 |