| NPI | 1598896243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI 000114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4302) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-03 |