| NPI | 1609039262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 972) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 8557) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-01-30 |