| NPI | 1548419880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 002102) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 002102) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2015-12-01 |