| NPI | 1487117966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1614) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2101) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-09-17 |