| NPI | 1992959621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S7222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7222) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6808) | |
| 101YP2500X Counselor, Professional (Licence: SC 6808) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2018-03-29 |