| NPI | 1750530507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 819) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1333) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2013-10-29 |