| NPI | 1003353467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10778) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-03-12 |