| NPI | 1871041095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A12506) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12506) |
| 101YM0800X Counselor Mental Health (Licence: NC A12506) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2023-12-14 |