| NPI | 1629596994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13329) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13329) |
| 101YM0800X Counselor, Mental Health (Licence: NC 13329) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-07-08 |