| NPI | 1730614702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: TN 60) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2020-01-23 |