| NPI | 1396838355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4851) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-10-08 |