| NPI | 1609231034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 4978) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2177) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-02-13 |