| NPI | 1477783348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4388) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2011-06-02 |