| NPI | 1962633008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 3936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD AC000726) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-07-08 |