| NPI | 1619641016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12717) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-01-23 |