| NPI | 1174059463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12806) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007350) |
| 101YP2500X Counselor, Professional (Licence: MI 6401013236) | |
| 225C00000X Rehabilitation Counselor (Licence: 00102730) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-03-19 |