| NPI | 1386180313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4867) |
| 101YP2500X Counselor, Professional (Licence: NE 2327) | |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-10-02 |