| NPI | 1013292713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S8402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8402) |
| 101Y00000X Counselor (Licence: NC S8402) | |
| 101YP2500X Counselor, Professional (Licence: NC S8402) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2022-05-13 |