| NPI | 1093153363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 6869) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-10-17 |