| NPI | 1447317417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 882) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-12-10 |