| NPI | 1346648417 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-2933) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-2933) | 
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-2933) | |
| 101YS0200X Counselor, School (Licence: ID LPC-2933) | |
| Enumeration Date | 2014-12-05 | 
| Last Update Date | 2014-12-05 |