| NPI | 1407113731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4871) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2329) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-01-22 |