| NPI | 1821222340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01834) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-10-17 |