| 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 |