| NPI | 1417995572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2003) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-01-04 |