| NPI | 1598178048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13350) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011252) |
| 101YP2500X Counselor, Professional (Licence: SC 7339) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-09-13 |