| NPI | 1134291800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 946) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1612) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-03-22 |