| NPI | 1063705598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4109) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2107) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2016-09-20 |