| NPI | 1902041379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO Lpc0013105) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2020-01-10 |