| NPI | 1891048674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 9613) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A9613) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-05-22 |