| NPI | 1124336987 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8040)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8040)  | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3028-A)  | |
| 101YP1600X Counselor, Pastoral (Licence: NC 8040)  | |
| 101YP2500X Counselor, Professional (Licence: NC 8040)  | |
| Enumeration Date | 2010-09-15 | 
| Last Update Date | 2022-09-14 |