| NPI | 1851124424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 8105) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 23618) |
| 101YP2500X Counselor Professional (Licence: CO LPC.0018770) | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |