| NPI | 1861787509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9406) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-05-13 |