| NPI | 1205063179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 2260) |
| 101YP2500X Counselor, Professional (Licence: SC 2380) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |