| NPI | 1730137456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4644) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: SC 4644) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |