| NPI | 1285037226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A11030) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2018-07-26 |