| NPI | 1568911030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2564) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2011017577) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C6322) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2023-06-29 |