| NPI | 1649405788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0141) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180009811) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-04-13 |