| NPI | 1184870081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3669) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2013-03-01 |