| NPI | 1962697011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0129911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0104651) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2013-02-19 |