| NPI | 1831616986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6050) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11253) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-11-24 |