| NPI | 1366711889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 155811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM t0143261) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2018-03-17 |