| NPI | 1528118361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 492) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8013) |
| 101YP2500X Counselor, Professional (Licence: NE 1695) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-06-25 |