| NPI | 1144505306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 078924) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2184) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3365) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2023-08-07 |