| NPI | 1952776007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0013062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC0104440) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-07-05 |