| NPI | 1508865502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 4196) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 4196) |
| 101YP2500X Counselor Professional (Licence: SC 8120) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-02-14 |