| NPI | 1972730596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4083) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 240153 (NBCC)) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-04-26 |