| NPI | 1982051405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8521) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8521) |
| 101YP2500X Counselor, Professional (Licence: DE PC-0011265) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-12-14 |