| NPI | 1053969360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2607) |
| 101YM0800X Counselor, Mental Health (Licence: NE 11977) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 100111) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2023-11-21 |