| NPI | 1578950416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4197) |
| 101YP1600X Counselor, Pastoral (Licence: LA 16524) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2019-11-21 |