| NPI | 1487620225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39000646A) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |