| NPI | 1760031223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3373) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2023-09-12 |