| NPI | 1184903544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 6948111248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 694-8-1-11A) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2025-01-31 |