| NPI | 1649629023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10424) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-11-24 |