| NPI | 1467070128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0206671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12276) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |