| NPI | 1174044754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A13069) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13069) |
| 101YM0800X Counselor Mental Health (Licence: NC A13069) | |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2017-11-10 |