| NPI | 1356897730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3564) |
| 101YP2500X Counselor, Professional (Licence: AL 3564) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |