| NPI | 1720623945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |