| NPI | 1851364616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 3521) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 3521) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-09 |