| NPI | 1164651089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 3006465A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001817) |
| 101YM0800X Counselor, Mental Health (Licence: FL 11327) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2015-10-22 |