| NPI | 1083194385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PR 1324) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PR 1324) |
| 101YP2500X Counselor, Professional (Licence: PR 1324) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |