| NPI | 1669077863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15476) |
| 101YP2500X Counselor, Professional (Licence: MD 14797) | |
| 101YP2500X Counselor, Professional (Licence: TX 86639) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-07-16 |