| NPI | 1528280542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3429) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1732) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-05-04 |