| NPI | 1508959081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 393) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2524) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-08-20 |