| NPI | 1134601420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: AL 00112409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3150A) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |