| NPI | 1487926580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 34422) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2015-11-05 |