| NPI | 1851584478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA not yet registered) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2012-06-21 |