| NPI | 1083908115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9404) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-02-21 |