| NPI | 1942534359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0122341) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NM 0122341) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |