| NPI | 1225198831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1036) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-10-09 |