| NPI | 1275748378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 372600000X) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-03-10 |