| NPI | 1285776401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000312A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401004440) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |