| NPI | 1134413024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9350) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4242) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-03-30 |