| NPI | 1447573555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC3018) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39002138A) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-10-28 |