| NPI | 1386880409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 6367872-6004) |
| 101YP2500X Counselor, Professional (Licence: UT 6367872-6004) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2019-02-19 |