| NPI | 1922025584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401008680) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 56) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |