| NPI | 1629437496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0011362) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 72380) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2023-02-07 |