| NPI | 1649598640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 005964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4049) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |