| NPI | 1629298096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1365) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1786) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 8275) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-12-08 |