| NPI | 1265589873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1452 LMHP, 924 CPC) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-11-16 |