| NPI | 1225129885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 592) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MA 31) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-05-09 |