| NPI | 1144776931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2306) |
| 101YM0800X Counselor, Mental Health (Licence: IA 089415) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-10-19 |