| NPI | 1245534049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3570) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2019-06-27 |