| NPI | 1336586213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9850) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-01-22 |