| NPI | 1891049631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011291) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 10948) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2020-07-27 |