| NPI | 1194055087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8988) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3842) | |
| 101YP2500X Counselor, Professional (Licence: NE 1904) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2023-03-16 |