| NPI | 1013562396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4863) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1677) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904009612) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |