| NPI | 1700388923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPC0000004010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN CC01482) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-04 |