| NPI | 1629357140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 4244) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2072) |
| 101YM0800X Counselor Mental Health (Licence: NE 9430) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2022-10-03 |