| NPI | 1164475927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3093) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: NC 3064) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-04-04 |