| NPI | 1366769465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 614) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1137) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1981) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2012-07-13 |