| NPI | 1093108672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1906) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5010) |
| 101YM0800X Counselor, Mental Health (Licence: IA 074909) | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2024-06-05 |