| NPI | 1205077237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2008036829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 5733) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2009-03-22 |