| NPI | 1235413733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A8558) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2017-03-08 |