| NPI | 1689057325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2203) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 10547) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-11-13 |