| NPI | 1740687276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE P-1121) |
| 101YP2500X Counselor, Professional (Licence: TX 76037) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 4416) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2024-05-20 |