| NPI | 1861527111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 2956) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL C1303A) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-03-08 |