| NPI | 1396062295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 7347) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 5403) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2013-04-04 |