| NPI | 1255477477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 7059) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MA 7059) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-11-04 |