| NPI | 1396972022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 967 LCPC) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR CO 555) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2009-06-21 |