| NPI | 1093144164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2401) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 278) |
| 101Y00000X Counselor (Licence: LA 2401) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |