| NPI | 1629511761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007381) |
| 101YP2500X Counselor, Professional (Licence: VA 0701007897) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2021-09-01 |