| NPI | 1275888588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9037) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-09-08 |