| NPI | 1811198336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PR 1522) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1522) |
| 101YP2500X Counselor, Professional (Licence: PR 1522) | |
| 106H00000X Marriage & Family Therapist (Licence: PR 1522) | |
| 101YS0200X Counselor, School (Licence: PR 1522) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-07-14 |