| NPI | 1689937401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional (Licence: MA 354579) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |