| NPI | 1891076717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 6090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3963) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1961) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2014-10-10 |