| NPI | 1013541622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2844) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 5734) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-11-06 |