| NPI | 1336273952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7146) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-07-25 |