| NPI | 1578663175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1258) |
| 101Y00000X Counselor (Licence: NE 819) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2016-12-12 |