| NPI | 1902385370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8353-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0017521) |
| 101YP2500X Counselor, Professional (Licence: WI 8353-125) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-02-22 |