| NPI | 1780999102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2032) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2012-10-25 |