| NPI | 1831135359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1196 LCPC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1060 LPC) |
| 174400000X Specialist (Licence: MT 0508-081970 CHt) | |
| 225C00000X Rehabilitation Counselor (Licence: MT 00085329 CRC) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-10-01 |