| NPI | 1891382842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8242) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8242) |
| 101YM0800X Counselor, Mental Health (Licence: SC 8242) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 8242) | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-04-12 |