| NPI | 1134609555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2547) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-11-09 |