| NPI | 1417400706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2058) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10955) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2019-09-08 |