| NPI | 1063955912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4810) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 2310) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2016-11-27 |