| NPI | 1518231653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1487) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006322) |
| 101YP2500X Counselor, Professional (Licence: GA LPC008801) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-11-25 |