| NPI | 1013383546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2648) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 4936) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-09-20 |