| NPI | 1174644074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3427) |
| 101YP2500X Counselor, Professional (Licence: NE 1730) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-05-13 |