| NPI | 1174659932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000659A) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 101YP2500X Counselor, Professional (Licence: KY KY-0464) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-12-02 |