| NPI | 1417490541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008195) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 88000191A) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-04-06 |