| NPI | 1952418741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3221) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-12-10 |