| NPI | 1124246038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1742) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NE 830) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-11-08 |