| NPI | 1700925666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID 8317) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 4505) |
| 101YM0800X Counselor Mental Health (Licence: NE 474) | |
| 101YP2500X Counselor Professional (Licence: MT 4583) | |
| 101YP2500X Counselor Professional (Licence: OK 4505) | |
| 101YP2500X Counselor Professional (Licence: NE 1529) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-10-27 |