| NPI | 1750325221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2032) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1164) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |