| NPI | 1750589438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 7331) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2016-10-27 |