| NPI | 1912068784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC RN24787) |
| Additional Taxonomies | 171W00000X Contractor (Licence: DC RN24787) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |