| NPI | 1093707226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 2282) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE CPC 1271) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-01-28 |