| NPI | 1326102047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2001031957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.003918) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |