| NPI | 1295177103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1862) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 225) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |