| NPI | 1336575513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO NLC0012747) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC0012747) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |