| NPI | 1114074028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 226) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-10-25 |