| NPI | 1003412917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12423) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-05-17 |