| NPI | 1992119226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH11338) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2018-07-14 |