| NPI | 1861714537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 1482) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 1482) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-10-25 |