| NPI | 1750413415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5488) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 5488) |
| 101YP2500X Counselor, Professional (Licence: NC 5488) | |
| 101YS0200X Counselor, School (Licence: NC 5488) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-03-03 |