| NPI | 1275690455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3661) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL 5588) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-08-27 |