| NPI | 1548401490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1931) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3879) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2015-10-22 |