| NPI | 1801451323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14772) |
| 101YP2500X Counselor, Professional (Licence: NC A14772) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-04-06 |