| NPI | 1821412032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0103242) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0012452) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2019-10-22 |