| NPI | 1023378213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR CO 499) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR CO 499) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |