| NPI | 1730236704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT LCPC 893) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 893) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |