| NPI | 1184865461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4084) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 4084) |
| 101Y00000X Counselor (Licence: LA 4084) | |
| 101YP1600X Counselor Pastoral (Licence: LA 4084) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2010-10-04 |