| NPI | 1023122082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4065) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4065) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-12-12 |