| NPI | 1003124710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A13795) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 101YP2500X Counselor, Professional (Licence: NC A13795) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-11-01 |