| NPI | 1639247661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1559) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-09-23 |