| NPI | 1407568959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 13101) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 13101) |
| 101YM0800X Counselor Mental Health (Licence: NE 13101) | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-06-13 |