| NPI | 1215094974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 960) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: NE 1921) | |
| 101YP2500X Counselor, Professional (Licence: NE 3878) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-01-12 |