| NPI | 1164877312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 009136) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: CT 009136) |
| 101YP2500X Counselor, Professional (Licence: CT 009136) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |