| NPI | 1023412574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5431) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2025-01-31 |