| NPI | 1811268311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9571) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2017-01-18 |