| NPI | 1902559743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 6704) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 0014809) |
| 101YM0800X Counselor Mental Health (Licence: WA 61489216) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-07-03 |