| NPI | 1992999684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1329) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8303) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3766) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2015-01-08 |