| NPI | 1558742569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC7305) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-06-17 |