| NPI | 1346360195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001644A) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-05-18 |