| NPI | 1609380567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7045) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7045) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6522) | |
| 101YP2500X Counselor, Professional (Licence: SC 6522) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2019-02-03 |