| NPI | 1740613884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9853) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC CRC-00115800) |
| 101Y00000X Counselor (Licence: NC R-DMT-1732) | |
| 101YP2500X Counselor, Professional (Licence: NC A9853) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2022-07-21 |