| NPI | 1194385773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 652) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11881) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-01-28 |