| NPI | 1194131391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014015303) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2016-09-29 |