| NPI | 1124262647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3608) |
| 101YM0800X Counselor, Mental Health (Licence: IA 001248) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-02-06 |