| NPI | 1568603421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0125171) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0125171) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-11-16 |