| NPI | 1609263896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014343) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP3336-R) | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2024-06-06 |