| NPI | 1932243359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA RN763322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA RN-265860L) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2013-03-19 |