| NPI | 1013176478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE LE0000144) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE LEOOOO144) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |