| NPI | 1003042201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE 466) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE 466) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-04 |