| NPI | 1710527577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61488467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.010489) |
| 101YP2500X Counselor, Professional (Licence: AR P2101139) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-03-08 |