| NPI | 1063746360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2412) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00971) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |