| NPI | 1821475047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 84732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV IP150608001) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-07-07 |