| NPI | 1396028874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6063) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |