| NPI | 1508106766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50956) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |