| NPI | 1225175243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 3080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE LPC 1600) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3080) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-04-15 |