| NPI | 1659799740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4697) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 9928) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2016-12-01 |