| NPI | 1558592899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4255-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4255-125) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |