| NPI | 1134469182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0103633) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0103633) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |