| NPI | 1659719474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4591) |
| 101YM0800X Counselor, Mental Health (Licence: NE 9932) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-08-23 |