| NPI | 1831689074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016391) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015866) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-08-18 |