| NPI | 1639383144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2986) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-06-25 |