| NPI | 1306312632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11591) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2020-08-17 |