| NPI | 1487972501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2009036110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2144) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2011-08-31 |