| NPI | 1164465423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2817) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-08-07 |