| NPI | 1548733231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11717) |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2021-04-01 |