| NPI | 1770827073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 9809) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A9809) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2015-08-26 |