| NPI | 1396268546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11235) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-10-21 |