| NPI | 1881056463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00146600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80590) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61334190) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-12-22 |