| NPI | 1437575339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10707) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10707) |
| 101YM0800X Counselor, Mental Health (Licence: NC 10707) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2021-08-20 |