| NPI | 1386014967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC6407) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC6047) |
| 101YP1600X Counselor Pastoral (Licence: MD LC6407) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |