| NPI | 1427416320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2010039337) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 278578) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |