| NPI | 1346794591 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R4207)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4207)  | 
| 101YP1600X Counselor, Pastoral (Licence: OR R4207)  | |
| Enumeration Date | 2016-08-04 | 
| Last Update Date | 2016-08-04 |