| NPI | 1922164516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 65) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2845) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-01-29 |