| NPI | 1871020743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9922) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC8779) |
| 101YP2500X Counselor, Professional (Licence: OR C6660) | |
| 101YP2500X Counselor, Professional (Licence: ID LPC7926) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-07-17 |