| NPI | 1851729727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10101) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2024-02-02 |