| NPI | 1386231181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3163) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE P-1835) |
| 101Y00000X Counselor (Licence: NE 12431) | |
| 101YM0800X Counselor, Mental Health (Licence: NE P-1835) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2785) | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2023-01-17 |