| NPI | 1356702492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A10760) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A10760) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-11-12 |