| NPI | 1285095067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3857) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5255) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2024-12-04 |