| NPI | 1487868477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006000743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 341) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-07-17 |