| NPI | 1073030839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2205) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11269) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-07-03 |