| NPI | 1548801475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 7850) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 7850) |
| 101YM0800X Counselor Mental Health (Licence: SC 6635) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2021-10-24 |