| NPI | 1831179639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 336) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1574) |
| 101Y00000X Counselor (Licence: NE 336) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-08-05 |