| NPI | 1558657478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9403) |
| 101YP2500X Counselor, Professional (Licence: SD LPC20775) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-01-23 |