| NPI | 1073737979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2737) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-10-17 |