| NPI | 1003136995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009042) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |