| NPI | 1073011623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11377) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1874) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-10-10 |