| NPI | 1194857128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6461) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 6461) |
| 101YM0800X Counselor, Mental Health (Licence: NC 6461) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-12-29 |