| NPI | 1477713907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 1252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 1252) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2009-03-06 |