| NPI | 1043644255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 2609) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 0820) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |