| NPI | 1144436635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5129) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0103701) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-03-03 |