| NPI | 1760534473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8143) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-03-02 |