| NPI | 1417456534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 13892) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 13892) |
| 101YP2500X Counselor Professional (Licence: GA GA006305) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2019-08-30 |