| NPI | 1487722740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 200011708990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8238) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2016-04-20 |