| NPI | 1538537568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 305S00000X Point of Service | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |