| NPI | 1699967950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 6486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001713A) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2015-01-30 |