| NPI | 1316086440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2009013655) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-04-08 |