| NPI | 1467964916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A13173) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A13173) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2019-09-17 |