| NPI | 1063887131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4651) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-02-23 |