| NPI | 1194898189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7700) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-12-27 |