| NPI | 1023272572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0154261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0114431) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-04-22 |