| NPI | 1467812636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5305) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10769) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-05-06 |