| NPI | 1881751535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2408) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 166) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-11-30 |