| NPI | 1366819930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 1025263) |
| Additional Taxonomies | 174400000X Specialist (Licence: AK 1023805) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2015-08-30 |