| NPI | 1720351083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2247) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2023-09-22 |