| NPI | 1821248105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 4055) |
| 101YP2500X Counselor, Professional (Licence: UT 60960366004) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-12-01 |