| NPI | 1790820975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3169) |
| 101YP2500X Counselor, Professional (Licence: NE 1642) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-10-27 |