| NPI | 1649696352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9631) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A9631) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2021-03-08 |