| NPI | 1659472900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00917) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-07-08 |