| NPI | 1275677445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH8359) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 1076-125) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |