| NPI | 1326377094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC13670) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |