| NPI | 1740290733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0067412) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 00067412) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-10-08 |