| NPI | 1720129265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 92-5E) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 92-05 LPE-I) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-03-24 |