| NPI | 1972040046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD LPC7392) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC7392) |
| 101YM0800X Counselor Mental Health (Licence: SD LPC7392) | |
| 101YS0200X Counselor School (Licence: SD LPC7392) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-08-04 |