| NPI | 1699017780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A8736) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC A8736) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-27 |