| NPI | 1487901260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9738) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-09-12 |