| NPI | 1093486656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7667) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-09-15 |