| NPI | 1871846352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2818) |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2012-10-20 |