| NPI | 1871845347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 6463) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8275) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |