| NPI | 1942510573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC05924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 92437) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61487142) | |
| Enumeration Date | 2010-10-17 |
| Last Update Date | 2024-10-07 |