| NPI | 1689853483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC10032) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |