| NPI | 1245339035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC237) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |