| NPI | 1003030149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 7518) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-10-30 |