| NPI | 1053816108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13616) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 13616) |
| 101YP2500X Counselor, Professional (Licence: NC 13616) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |