| NPI | 1649595778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 174400000X Specialist | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |