| NPI | 1497152185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2060) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |