| NPI | 1881605079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 789) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1356) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-06-02 |