| NPI | 1679094361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11209) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-12-21 |