| NPI | 1720226806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1114) |
| 101YP2500X Counselor, Professional (Licence: NE 2028) | |
| 405300000X Prevention Professional (Licence: NE 1114) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2018-10-03 |