| NPI | 1710216999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1464) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2012-02-09 |