| NPI | 1831423185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 007784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T10121811) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2014-04-18 |