| NPI | 1417230582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1221) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2014-04-23 |