| NPI | 1467666750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1722) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-11-21 |