| NPI | 1255701652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 01444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV MI0474) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2018-04-07 |