| NPI | 1134354996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 209525 certificatio) |
| 101YP2500X Counselor, Professional (Licence: TX 62483) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2020-01-19 |