| NPI | 1447450846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-08-01 |