| NPI | 1497177752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2578) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2015-07-07 |