| NPI | 1942616776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1478) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2016-11-10 |