| NPI | 1083920516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC13984) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC2551) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2010-10-06 |