| NPI | 1649530742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004209A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5632-R) |
| 101YP2500X Counselor, Professional (Licence: IL 178006821) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.015015) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2025-07-29 |