| NPI | 1477995033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10026) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2015-05-04 |