| NPI | 1699700336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4310) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 1149) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-10-06 |