| NPI | 1659642668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC-MH2283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC7252) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2015-09-09 |