| NPI | 1700098647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 937) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 198) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-09-11 |