| NPI | 1710284013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC1907) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC PRC14080) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701004771) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |