| NPI | 1538685888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A13185) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13185) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-09-07 |