| NPI | 1073810602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4020) |
| 101YP2500X Counselor, Professional (Licence: NE 1984) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2021-02-12 |