| NPI | 1568852051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10479) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-03-17 |