| NPI | 1508347444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A14128) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A14128) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-03-18 |