| NPI | 1205361672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11146) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-11-02 |