| NPI | 1861852089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5773) |
| 101YM0800X Counselor, Mental Health (Licence: MS 84392) | |
| 101Y00000X Counselor (Licence: MS 2735) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2022-06-06 |