| NPI | 1174848535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002046A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.006831) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |