| NPI | 1790858116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: MD LC1565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1565) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |