| NPI | 1316132186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0552) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS LPC 0552) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2021-10-13 |