| NPI | 1275879694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 6416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 2007) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |