| NPI | 1922314400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8233) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8233) |
| 101YP2500X Counselor, Professional (Licence: VA 0701008978) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2023-11-27 |