| NPI | 1417270992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14073) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-04-01 |