| NPI | 1154590206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 2646) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHC00356) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-05-06 |