| NPI | 1982899431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3613) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1809) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2023-07-19 |