| NPI | 1780898684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002555) |
| 101YM0800X Counselor, Mental Health (Licence: OH E0007930) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-08-12 |