| NPI | 1376821736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4074) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2003) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-07-06 |