| NPI | 1174877245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9662) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2015-03-25 |