| NPI | 1649335704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: SC 4782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4782) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-05-13 |