| NPI | 1033254495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7211) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YS0200X Counselor School (Licence: MA 447664) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-01-06 |