| NPI | 1104222041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10393) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2021-09-08 |