| NPI | 1629229828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 305S00000X Point of Service (Licence: HI MHC-350) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2015-01-31 |