| NPI | 1780283523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC20562) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 20562) |
| 101YP2500X Counselor, Professional (Licence: SD LPC20562) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-01-03 |