| NPI | 1740667104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010917) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61409067) |
| 101YP2500X Counselor, Professional (Licence: UT 12903813-6004) | |
| 101YP2500X Counselor, Professional (Licence: WA LH61409067) | |
| 101YP2500X Counselor, Professional (Licence: MT 49347.) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2025-08-19 |