| NPI | 1699320564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 15081) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A1508) |
| 101YP2500X Counselor Professional (Licence: NC A15081) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-05-11 |