| NPI | 1093150211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 982) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 11325) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-07-21 |