| NPI | 1922266030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8611) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health (Licence: NE 1356) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2023-08-03 |