| NPI | 1346488830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV MF01097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 1204) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-05-08 |