| NPI | 1780713701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3931) |
| Additional Taxonomies | 2472V0600X Technician, Other, Veterinary |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |