| NPI | 1326469628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 3200) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-01-04 |