| NPI | 1760718837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 433) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2013-04-29 |