| NPI | 1215361357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1000) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |