| NPI | 1841639390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 1734) |
| 101YP2500X Counselor, Professional (Licence: SC 2250) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2014-03-03 |