| NPI | 1508155771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 001388) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 4880) |
| 101YM0800X Counselor Mental Health (Licence: NE 1669) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2024-01-07 |