| NPI | 1104074178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 002233) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: CT 002233) | |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-06-03 |