| NPI | 1861061277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2689) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |