| NPI | 1326479197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LPC-5331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-5331) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |