| NPI | 1972137362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7453) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |