| NPI | 1306986971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0123101) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NM 0123101) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-09-09 |