| NPI | 1952586919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0012490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6428) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2017-02-03 |