| NPI | 1003113580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4815) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9017) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2016-10-10 |