| NPI | 1760864243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2391) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-04-29 |