| NPI | 1750632873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9338) |
| 101YP2500X Counselor, Professional (Licence: NE 2713) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2023-07-07 |