| NPI | 1386130524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S13702) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005095) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |