| NPI | 1184775538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 540) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 540) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-10-11 |