| NPI | 1891087581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4185) |
| 101YP2500X Counselor, Professional (Licence: NE 2052) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-12-01 |