| NPI | 1841334851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 007614) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD D0007177) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2010-01-19 |