| NPI | 1114251063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 504-3-1-04-189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 00178) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2010-01-23 |