| NPI | 1992276810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6574) |
| 101YP1600X Counselor, Pastoral (Licence: SC 6574) | |
| 101YP2500X Counselor, Professional (Licence: SC 6574) | |
| 251S00000X Community/Behavioral Health (Licence: SC 6574) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |