| NPI | 1134663461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10913) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2024-07-09 |