| NPI | 1205130101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4971-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1006-226) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2013-01-03 |