| NPI | 1699062356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0041) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180-000001) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-10-24 |