| NPI | 1477616878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3520) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-03-19 |