| NPI | 1912287160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC-MH2313) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC7326) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-04-13 |