| NPI | 1396970893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3885) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2023-08-03 |