| NPI | 1497028393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7898) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-10-08 |