| NPI | 1467692574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LPC-4968) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-08-13 |