| NPI | 1740441724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.006288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4086-125) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2008-08-18 |