| NPI | 1043660483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 101y00000x) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-07-15 |