| NPI | 1609012319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 831) |
| 101YM0800X Counselor, Mental Health (Licence: CO 6155) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |