| NPI | 1396929428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC 01185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 01582) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |