| NPI | 1528512159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2710) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK LPC06865) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2024-08-07 |