| NPI | 1265607634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 31059) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |