| NPI | 1669775722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2087) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4287) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2018-07-10 |