| NPI | 1417184698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002443) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-04-01 |