| NPI | 1720475429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020039929) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7090) |
| 101YM0800X Counselor, Mental Health (Licence: KS 02980) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-12-22 |