| NPI | 1063813608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5129) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10323) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2018-05-14 |