| NPI | 1154524296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0084871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0096341) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-06-18 |