| NPI | 1487225512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 3012) |
| 101YM0800X Counselor, Mental Health (Licence: NH 111360) | |
| 101YP2500X Counselor, Professional (Licence: FL 3012) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2023-03-13 |