| NPI | 1548313000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: SC 4942) | |
| 101YP2500X Counselor Professional (Licence: SC 207246) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-07-21 |