| NPI | 1295114064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4519) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2017-03-06 |