| NPI | 1336530096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4555) |
| 101YP2500X Counselor, Professional (Licence: NE 2215) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2020-07-21 |