| NPI | 1720331267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9618) |
| 101YP2500X Counselor, Professional (Licence: NC A90618) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-06-08 |