| NPI | 1376972315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4302) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2093) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2018-10-09 |