| NPI | 1063670560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7701) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-02-08 |