| NPI | 1013339050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A10484) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |