| NPI | 1043961451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3689) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 12863) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2024-05-24 |