| NPI | 1174940399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 101YM0880X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 101YM800X) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |