| NPI | 1750518999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C006405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW8680) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |