| NPI | 1477730703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8522) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2010-09-15 |