| NPI | 1174180673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4112) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2019) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-06-06 |