| NPI | 1053730465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC a10577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC a10577) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |