| NPI | 1578802682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8398) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8398) |
| 101YM0800X Counselor Mental Health (Licence: NC 8398) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |