| NPI | 1932477007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS LCPC 2240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC 4169) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |