| NPI | 1477868826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5153-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 5153-125) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2021-03-26 |