| NPI | 1134589583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5582) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10802) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2021-03-22 |