| NPI | 1609343631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |