| NPI | 1699050450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1913) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |