| NPI | 1811105836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3821) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1899) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-01-15 |