| NPI | 1891957692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 3579) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |