| NPI | 1093821365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 410) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-01-08 |