| NPI | 1689756355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 14576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2058) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-08-07 |