| NPI | 1871554600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 5261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3291) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-09-15 |