| NPI | 1851842470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0186941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0184281) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-01-28 |