| NPI | 1134281710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3017) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-11-09 |