| NPI | 1205256500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1714) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 4921) |
| 101YP2500X Counselor, Professional (Licence: NE 2350) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-03-20 |