| NPI | 1437451630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI AF820287622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI AS820283908) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |