| NPI | 1790844611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1604) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3231) |
| 101YP2500X Counselor, Professional (Licence: NE 1671) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-03-06 |