| NPI | 1750533840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2007020583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007020583) |
| 101YM0800X Counselor Mental Health (Licence: MO 2007020583) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |