| NPI | 1891821518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LIMHP2724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8147) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-09-26 |