| NPI | 1801098827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3401) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 2581) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |