| NPI | 1588003388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3372) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH5297) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-01-09 |