| NPI | 1164100301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 768) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 00000) |
| 101YM0800X Counselor, Mental Health (Licence: NE 13468) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-10-14 |