| NPI | 1770767352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 1148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS PH1535) |
| 101YP2500X Counselor, Professional (Licence: TN 3374) | |
| 101YP2500X Counselor, Professional (Licence: NV 1148) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2021-02-02 |