| NPI | 1578996955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 469) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2014-02-03 |