| NPI | 1912154485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 95) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-03-04 |