| NPI | 1710753892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0020629) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV CP5722-R) |
| 101YM0800X Counselor Mental Health (Licence: FL MH23048) | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-08-15 |