| NPI | 1619432465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 13291) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11346) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-04-18 |