| NPI | 1427207687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 10164) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2014-01-15 |