| NPI | 1609170349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1235) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 4169) |
| 101YM0800X Counselor Mental Health (Licence: NE 9314) | |
| 101YP2500X Counselor Professional (Licence: NE 2047) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2019-03-04 |