| NPI | 1861010035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15456) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A15456) |
| 101YM0800X Counselor, Mental Health (Licence: NC A15456) | |
| 225C00000X Rehabilitation Counselor (Licence: NC 00237454) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-16 |