| NPI | 1487395299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17424) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A17424) |
| 101YP2500X Counselor, Professional (Licence: NC A17424) | |
| 251S00000X (Licence: NC A17424) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-03-18 |