| NPI | 1114256914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3899) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2024-06-24 |