| NPI | 1053547810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1094) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3480) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2024-11-25 |