| NPI | 1720486913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A10894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 329947) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |