| NPI | 1699887059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO Adv nurse 38695) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO Adv. nurse 38695) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-04-30 |