| NPI | 1679988539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE Q1-0001297) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3608) |
| 101YM0800X Counselor, Mental Health (Licence: VT 08901358Tele) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 13728169-3501) | |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2024-09-06 |