| NPI | 1174674345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 847) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NH 38) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |