| NPI | 1780694323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 10) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 1010) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-11-01 |