| NPI | 1487943023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5144) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 5144) |
| 101YM0800X Counselor Mental Health (Licence: 5144) | |
| 101YS0200X Counselor School (Licence: 5144) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |