| NPI | 1396264081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A13121) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-11-28 |