| NPI | 1043300098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC LPC 2815) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC NCC 38985) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-09 |