| NPI | 1558548925 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 824)  | 
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NE 824)  | 
| Enumeration Date | 2008-01-28 | 
| Last Update Date | 2013-02-20 |