| NPI | 1184170441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10931) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-02-02 |