| NPI | 1265663132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0008020) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005667) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2011-03-30 |