| NPI | 1215226162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1209) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4189) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2021-10-13 |